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Oklahoma rates for HCPCS 58301

Removal Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.11 / $1,474.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.15 / $108.63 / $124.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.62 / $116.21 / $117.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.61 / $329.41 / $477.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $106.54 / $141.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.78 / $113.36 / $147.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.80 / $123.32 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.37 / $144.93 / $852.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.86 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.02 / $115.52 / $157.69